Pine Psychiatric Care Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PINE PSYCHIATRIC CARE SERVICES LLC

Practice address

2727 San Pedro Dr NE Ste 118
Albuquerque, NM 87110-3364

Phone

(505) 361-6580

Fax

(505) 717-4007

NPI assigned

Sep 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mercy Itesa, PMHNPNPI 1790272920

Title

Owner

Phone

(505) 361-6580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercy Itesa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1790272920

  NM, TX

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1619647484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE STE 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103364",
            "telephone_number": "505-361-6580",
            "fax_number": "505-717-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE STE 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103364",
            "telephone_number": "505-361-6580",
            "fax_number": "505-717-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PSYCHIATRIC CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "ITESA",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-361-6580",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Shannon King Pimentel, MOT
• Alfred Pina
• Christy Pina
• J Keith Pinckard, M.D., PH.D.
• Talia Naomi Pindyck, M.D.
• Larry J. Pineda, PHARMD
• Jaylene Pinedo
• Jessica Pinera, LCSW
• Pines Institute
• Heather Marie Pink, NP-C

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.